| Organization Name: | MIDWEST WOMEN OB-GYNE LTD |
| NPI Number: | 1679652523 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAMITA BANSORE (PHYSICIAN/OWNER) |
| Mailing Address: | 3825 Highland Ave Tower 1 Suite 2f Downers Grove |
| State: | IL US |
| Postal Code: | 605151552 |
| Phone Number: | 6308523762 |
| Fax Number: | 6308524087 |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 06/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |